Catheter09: Difference between revisions
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Revision as of 09:35, 2 June 2009
Note: This is a proposed project only at this time. Please feel free to comment if any instructions are unclear, though!
The Nursing Leadership Counsel at St Boniface is working on reducing the incidence and duration of urinary catheterizations without appropriate clinical indications. We will collect some data for them as part of our temporary studies, initially for three months, but possibly longer pending the results at that time.
Times
- Estimated Start Date: ???
- Review Date (~75 days after start):
- Preliminary End Date (3 months after start):
Discussion
- Will this study be impacted by running over the summer months? Ttenbergen 17:23, 1 June 2009 (CDT)
- When do we want to start this? Ttenbergen 17:25, 1 June 2009 (CDT)
Collection Instructions
Make a record in L_TmpV2 for every indwelling urinary catheter on your ward. It does not matter whether the patient arrived with it or was catheterized locally.
We need more data than you can put on one line. We could have recorded a line for each data element, but to speed it up for you we combined them on 4 lines as follows:
- Reason from Item dropdown list, dr. order on checkbox
- Insertion date/time
- Removal date/time
- Unit Inserted from Item dropdown box, post-insert UTI checkbox
For example:
- Project: Catheter09; Item: “R-Hemostasis for active bleeding”, Dr order: “yes”
- Project: Catheter09; Item: “D-Inserted”, Date: 12 May 09
- Project: Catheter09; Item: “D-Removed”, Date: 14 May 09
- Project: Catheter09; Item: “W-HSC A4”, post-insert UTI: “no”
If a patient was catheterized more than once, enter several sets of records. Make sure you finish entering one set of records before starting the next, as the record date/time will be used to group the records.
Reason data
Choose the first item starting with an “R-” listed under Catheter09’s item list that applies to this patient. The items are specifically ordered so that if you choose the first one that applies we will get the best results.
Dr order
Is there a doctor’s order to catheterize in the chart?
D-inserted / D-removed
Date and time the catheter was inserted or removed.
- If you can’t find a time, use midnight.
- if the time is in fact midnight, record 0:05 instead
"Where" Data
Choose the place (elements starting with "W-") where the catheter was inserted.
Data Structure Setup
The s_tmp lines driving this will be similar to the following table. These lines need to be added to the s_tmp table on ccmdb.mdb and on the PDA.
| Study | Value | Instruction | int var label | float var label | bool var label | date var label | time var label | complete send |
| Catheter09 | R-Arrived that way | catheterization reason, dr order | -- | -- | Dr Order | -- | -- | True |
| Catheter09 | R-<one line per reason> | catheterization reason, dr order | -- | -- | Dr Order | -- | -- | True |
| Catheter09 | D-Inserted | insertion date | -- | -- | -- | Insert dt | Insert tm | True |
| Catheter09 | D-Removed | removal date | -- | -- | -- | Remove dt | Remove tm | True |
| Catheter09 | W-<one line per option> | insert location; post-insertion UTI | -- | -- | PI UTI | -- | -- | True |
Actual "where" options
- SBGH ER Dept
- SBGH ICU
- This Ward
- Other SBGH Service Unit
- Other Facility
Actual "reason" options
-Arrived to the unit with catheter -Urinary incontinence -Acute/chronic retention -Accurate urinary output monitoring -Management of perianal/sacral wounds -Palliative care -Hemostasis -Ordered by Urologist -Ordered pre-procedure/surgery -Monitoring of hematuria -Patient preference
Discussion
Template:Discussion I moved "arrived with" to the top. I seem to rememebr us discussing that itshould be chosen for any patient who arrives with a catheter, even if another reason might be recorded. This would prevent skewing the data to those reasons which are recorded better off-ward etc. Any thoughts? Ttenbergen 17:28, 1 June 2009 (CDT)
Complete Files Only?
Template:Discussion Will we need this data only once a patient is sent, or as the recording proceeds? I suspect only as a patient is sent... Ttenbergen 17:23, 1 June 2009 (CDT)
Data Processing
Our statistician will pull the data from the TmpV2_1.mdb file on the regional server. We will provide this data to the requester in the following format:
- Serial | Site | Location | Catherer Counter| Reason | Dr.Order| D-Inserted | D-Removed |Total catheter days(calculated)| Where | PI UTI
We will not provide patient identifiers at this time, but if necessary later we can resolve Serial, Site and location to patient identifiers.
Summary statistics will be provided like frequencies for Reasons and PI-UTI and descriptive stats (N, mean,median, STD, min, max) for Catheter days. JMojica 10:22, 2 June 2009 (CDT)